MyRYTARY is a personalized program helping patients connect to access support, affordability support, case management and educational resources.

Access
Support
Affordability Support
Case Management & Educational Resources
Access Support
MyRytary Start Program
PATIENTS GET UP TO 3 MONTHS OF RYTARY® AT NO COST.

The MyRYTARY Start Program gives eligible patients access to RYTARY® at no cost during the payer approval and the patient’s dosage conversion and adjustment processes.

  • Up to three (3) months
  • If delays in the Payer Approval process persist beyond three (3) months, additional product at no cost may be available upon request. Please call 1.844.IMPAX2U (467.2928) for terms and conditions.

LET US HELP YOUR PATIENTS WITH ACCESS TO RYTARY® THROUGH:
  • Rapid benefits investigation
  • Assistance in understanding the prior authorization process
  • Assistance with the exception and appeals process

GETTING STARTED IS EASY.

If your patient wishes to enroll, simply download the form below and follow the instructions.

Patient Enrollment Form

  • Complete all fields on the blue form (p.4) either electronically or by hand (using black ink). Then sign it.
  • Ask your patient to complete and sign the green form (p.2) either electronically or by hand (using black ink).
  • Collect all necessary clinical documentation.
  • Fax both forms to 1-844-IMPAX08 (467-2908).

Download Now
Getting started is easy.
Call 1.844.IMPAX2U (467.2928)
Monday-Friday, 8AM-8PM EST